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Diamox vs. Lasix

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Acetazolamide (generic, formerly branded as Diamox) and Furosemide (Lasix) are both prescription medications used to manage fluid-related conditions, but they belong to different drug classes and have distinct uses. Acetazolamide is a carbonic anhydrase inhibitor that helps with altitude sickness, glaucoma, edema, and epilepsy. It works by affecting your body's fluid and acid-base balance. Furosemide, on the other hand, is a loop diuretic (water pill) primarily used to treat edema due to heart failure, liver, or kidney problems, and it can also lower blood pressure. While both medications help remove excess fluid from the body, acetazolamide is not classified as a diuretic but has diuretic-like effects, whereas furosemide is specifically designed to increase urination. Acetazolamide is available in both immediate-release and extended-release forms, while furosemide is available as a tablet and an oral solution. Common side effects of acetazolamide include tiredness, stomach upset, and numbness, whereas furosemide can cause frequent urination, dizziness, and sensitivity to sunlight. Both medications require careful monitoring for electrolyte imbalances, but furosemide can also cause hearing problems.

Acetazolamide

 

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Furosemide

(Lasix)

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Summary for Diamox

Prescription only

Acetazolamide is used to treat altitude sickness (mountain sickness). It can also help with glaucoma, edema (swelling), and epilepsy (a seizure condition). Acetazolamide can have side effects such as tiredness, stomach upset, and sometimes numbness and tingling of the face, arms, or legs. This medication comes as a generic immediate-release (IR) tablet and extended-release (ER) capsule; the brand-name Diamox is no longer available.

Indications for Diamox

  • Altitude sickness (mountain sickness)
  • Glaucoma
  • Edema (swelling in the body due to fluid buildup) - IR tablet only
  • Epilepsy (petit mal, unlocalized seizures) - IR tablet only

Pros and Cons for Diamox

Pros

  • Recommended preventative medication for altitude sickness if you're at moderate-to-high risk of developing this condition
  • Generally a well-tolerated medication
  • Can use in older people (at lower doses)
  • Available as a lower-cost generic

Cons

  • Need to take multiple times a day
  • Might not be a good option if you have a sulfonamide ("sulfa") allergy
  • Not recommended for people with serious kidney or liver problems
  • Not known if it's safe or works well in children (those of all ages for immediate-release and those younger than 12 for extended-release)

Common Side Effects for Diamox

  • Tiredness
  • Headache
  • Nausea
  • Vomiting
  • Diarrhea

Warnings for Diamox

  • Changes in acid-base balance and electrolyte levels
  • Changes in blood sugar levels
  • Interaction with aspirin
  • Allergic reaction
  • Harm to unborn baby

Summary for Lasix

Prescription only

Furosemide (Lasix) is a loop diuretic, a type of water pill. Furosemide (Lasix) is used to relieve swelling from extra fluids in children and adults. This medication can also lower blood pressure, though it's not a first-choice option for this condition. Furosemide (Lasix) comes as a tablet that's taken by mouth, typically once or twice daily. It's also available as an oral solution for people who've trouble swallowing tablets. Furosemide (Lasix) will cause you to urinate more often as a side effect, so it's best to not take this medication too close to bedtime.

Indications for Lasix

  • Swelling (edema) due to heart failure, liver problems, or kidney problems
  • High blood pressure

Pros and Cons for Lasix

Pros

  • Starts working within an hour after you take it
  • Available in liquid form for children or people who have trouble swallowing pills
  • Available as a lower-cost generic medication

Cons

  • Not a good choice for people with a sulfa allergy
  • Might cause you to urinate in the middle of the night if you take it later in the day
  • Can make you more dizzy and raise your risk for falling down

Common Side Effects for Lasix

  • Urinating more often
  • Dizziness
  • Headache
  • Feeling off balance when you get up suddenly
  • Skin sensitive to the sun

Warnings for Lasix

  • Dehydration and electrolyte imbalance
  • Caution in people with liver problems
  • Hearing problems
  • Problems with urination
  • Allergic reaction
  • Gout

Prices with our coupons for Diamox vs. Lasix

Price Card Drug Icon
Acetazolamide60 tablets / 250mg
$20.87$88.08
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Furosemide30 tablets / 20mg
$4.00$4.00
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